Claims Quality Analyst

West Bend Insurance Company • West Bend, WI

4d

About The Position

The Claims Quality Analyst supports West Bend’s Claims Quality Assurance team by assessing claims handling quality, compliance, and adherence to company best practices, policies, and adjusting procedures. The role reviews casualty claim files, audit results, and performance trends to provide an objective view of claim quality and identify opportunities for improvement. It combines detailed file review and analysis with practical feedback for Claims leaders and teams. The position may be performed remotely or on a hybrid schedule. Candidates within 50 miles of the West Bend, Madison, or Appleton office locations will be offered a hybrid schedule. Fully remote employees may occasionally be asked to travel to an office for team meetings, training, and corporate events.

Requirements

• Seven years of claims handling experience, including auto investigations, bodily injury, and general liability claims.
• Three years of claims auditing experience.
• Experience working with complex or large claim files.
• Strong knowledge of regulatory requirements and insurance industry standards.
• Analytical ability to recognize meaningful patterns in audit results and claims data.
• Strong attention to detail while maintaining sight of broader issues.
• Ability to explain complex claims concepts, findings, or data straightforwardly.
• Strong communication skills and ability to work effectively with Claims professionals and leadership.
• Experience coaching, mentoring, or helping others develop technical knowledge.
• Comfort working with current technology, databases, and reporting tools.

Nice To Haves

• Bachelor’s degree in Communications, Education, Business, or a related field.
• Insurance designation such as CPCU, AIC, or AINS.

Responsibilities

• Review casualty claim files to assess quality, compliance, and adherence to West Bend’s best practices, policies, and adjusting procedures.
• Conduct claims performance reviews and analyze audit results to identify trends and areas for further review.
• Manage the audit database, select and deploy files for review, and develop reporting that explains results.
• Share findings and recommendations with Claims leadership in a clear, practical way.
• Serve as a casualty claims resource for the Claims and Training teams.
• Guide and calibrate reviewers to promote consistency throughout the audit process.
• Provide technical guidance and coverage interpretation on issues of low to moderate complexity.
• Build productive relationships with stakeholders across Claims and other organizational areas.
• Conduct targeted audits and special projects and address emerging quality questions as needs arise.

Benefits

• Medical and prescription insurance
• Health Savings Account
• Dental insurance
• Vision insurance
• Short- and long-term disability
• Flexible Spending Accounts
• Life and accidental death and disability insurance
• Accident and critical illness insurance
• Employee Assistance Program
• 401(k) plan with company match
• Pet insurance
• Paid time off; standard first-year PTO is 17 days, prorated based on month of hire, with enhanced PTO potentially available for experienced candidates
• Performance-based bonus eligibility

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed